Yibao Zhang

Jueye Zhang, Chao Yang, Youfang Lai et al.

Head-and-neck cancer (HNC) planning is difficult because multiple critical organs-at-risk (OARs) are close to complex targets. Intensity-modulated carbon-ion therapy (IMCT) offers superior dose conformity and OAR sparing but remains slow due to relative biological effectiveness (RBE) modeling, leading to laborious, experience-based, and often suboptimal tuning of many treatment-planning parameters (TPPs). Recent deep learning (DL) methods are limited by data bias and plan feasibility, while reinforcement learning (RL) struggles to efficiently explore the exponentially large TPP search space. We propose a scalable multi-agent RL (MARL) framework for parallel tuning of 45 TPPs in IMCT. It uses a centralized-training decentralized-execution (CTDE) QMIX backbone with Double DQN, Dueling DQN, and recurrent encoding (DRQN) for stable learning in a high-dimensional, non-stationary environment. To enhance efficiency, we (1) use compact historical DVH vectors as state inputs, (2) apply a linear action-to-value transform mapping small discrete actions to uniform parameter adjustments, and (3) design an absolute, clinically informed piecewise reward aligned with plan scores. A synchronous multi-process worker system interfaces with the PHOENIX TPS for parallel optimization and accelerated data collection. On a head-and-neck dataset (10 training, 10 testing), the method tuned 45 parameters simultaneously and produced plans comparable to or better than expert manual ones (relative plan score: RL $85.93\pm7.85%$ vs Manual $85.02\pm6.92%$), with significant (p-value $<$ 0.05) improvements for five OARs. The framework efficiently explores high-dimensional TPP spaces and generates clinically competitive IMCT plans through direct TPS interaction, notably improving OAR sparing.

Lei Zhu, Qi She, Qian Chen et al.

Weakly supervised object localization (WSOL) relaxes the requirement of dense annotations for object localization by using image-level classification masks to supervise its learning process. However, current WSOL methods suffer from excessive activation of background locations and need post-processing to obtain the localization mask. This paper attributes these issues to the unawareness of background cues, and propose the background-aware classification activation map (B-CAM) to simultaneously learn localization scores of both object and background with only image-level labels. In our B-CAM, two image-level features, aggregated by pixel-level features of potential background and object locations, are used to purify the object feature from the object-related background and to represent the feature of the pure-background sample, respectively. Then based on these two features, both the object classifier and the background classifier are learned to determine the binary object localization mask. Our B-CAM can be trained in end-to-end manner based on a proposed stagger classification loss, which not only improves the objects localization but also suppresses the background activation. Experiments show that our B-CAM outperforms one-stage WSOL methods on the CUB-200, OpenImages and VOC2012 datasets.